The URL can be used to link to this page

12170 POST THIS CARD NEAR FRONT OF BUILDING . . $ � qg PFRMI CITY OF CUPERTINO 1$170 INSPECTION'DIVISION JOB INSPECTION RECORD. ' ' PERMIT EXPIRATION" JOB ADDRESS w� WdEr UNIT# LOT# - pp ��j�� i�� ..� p PERMIT EXPIRES IF WORK OWNER /`DC, _712. a1 )�- C_L4 V CONTRACTOR t`9-L—�L.� lJ-l/�, IS NOT STARTED WITHIN INSPECTION DATE INSPECTOR INSPECTION RECORD 18U DAYS OF PERMIT ISSU- FOUNDATION - - ANCE OR 180 DAYS FROM LASTCALLED INSPECTION. UFER PREGUNITE - - PERMIT VALIDATION I: .F POUR NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED UNDERGROUND /SLAB, L .. PLUMBING ELECTRICAL -- - ISSUANCE DATE MECHANICAL RLGG. ELECT. PLG. MECH. DO NOT POUR FLOOR UNTIL ABOVE HAS BEEN SIGNED BUILDING PERMIT INFORMATION WOOD FLOOR - - VALUATION _ $/FT. -` PLUMBING MECHANICAL - ,, ELECTRICAL o FRAMING ` INSULATION • STORIES TYPE CONSTR. n .00C.GROUP RES,UNITS PLACE NO SUBFLOOR UNTIL ABOVE HAS BEEN SIGNED ROOF SO.FT,FLOOR AREA TOTAL ACREAGE ., DIAPHRAGM 13\3� 11 11>>yy� I euaomc USE p1 LIp ES IND CON ,PB DIE.,,.. APPLY NO ROOFING UNTIL ABOVE HAS BEEN SIGNED ❑ ❑ ❑ ❑ ❑ ASSESSORS PARCEL NO. ROUGH PLUMBING - TRACT NO. PARCEL NO. GAS TEST MECHANICAL Cu/.W` _ 8• ACC.DATE ACC.FILE NO . ELECTRICAL' FINALS DATE INSP. FRAMING SAN # ZONING INSULATION PLUMBING ENG.SITE NO. GAS MECHANICAL FIRE SPRINK ENERGY T 24 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED HEATING Y ❑ "❑ ❑ "❑ LATH—INTERIOR - ELECTRICAL FLOODZONE A,L.U.C. LATH—EXTERIOR,'' - - FIRE DEPT. Y❑ N❑ Y ❑ Iry❑' SHEETROCK. GRADE FEE SUMMARY I SHEAR INTERIOR BUILDING SHEAR EXTERIOR ' TEMPORARY APPROVALS BUILDING FIREWALLS ELECTRIC 'PLAN CHECK , GAS FEE NO TAPE OR PLASTER UNTIL ABOVE HAS BEEN SIGNED OCCUPANCY SEISMIC FEE OCCUPANCYOF BUILDING IS NOT PERMITTED UNTIL BUILDING FINAL IS SIGNED BY BUILDING INSPECTOR. MICROFILM - I =.ttt.,, ARRANGE FOR INSPECTION BY PHONING 252-4505ELECTRIC, Nry I- ONE WORKING DAY BEFORE REQUIRED.INSPECTION. oL ' - PLUMBING z PLEASE GIVE JOB ADDRESS WHEN PHONING. : rn ��""! MECHANICAL w�+ — SEE PERMIT FOR EXPIRATION DATE IMPORTANT! p CONST.TAX PLEASE READ REVERSE.SIDE BEFORE ; p „ TOTAL CALLING FOR FINAL INSPECTION.. OFFICECOPY•' - - - - APPLICANT TO FILL IN,INFORMATION WITHIN RED LINES - USE BALL POINT PEN ONLY 588-248 B I LDI NG PROJECT 1 DENTI FI TION _ • PERMIT NUMBER " BUILDING APPLICATION & PERMIT ry �7 p cei1009 Valloo FashionzCenter 1 'Z 1 I'0 BUILDING -ELECTRICAL-PLUMBING -MECHANICAL ! OWNER'S - PLAN CHECK VALIDATION' "AME . OTV. ELECTRIC PERMIT FEE rostersJewelers PRDNE ' CONTRACTOR'5 . NAME - . OUTLETS-SWITCHES-RECEP 10.00/1.00 - Cal-Air ConditioningM.No. 137195 LIGHTING FIXTURES 10,00/1.00 CONTRACTOR APPLIANCES-RESIDENTIAL '4.00 ADDRESS ,. 1775 S. .lst St. SJ PHONE 947-0155 PANELS 10.00 DATE OF APPLICATION ARCHITECTPLAN'CHECK FEE P.C.N0. v�g oR PANELS (OVER 200 AMP). 20.00 ENGINEER M LIC.No. SIGNS TRANS. 3.00 ARCH.OR ENG. , PERMIT VALIDATION ADDRESS - SPECIAL CIRCUIT 5.00 ZIP. EMP.METER OR POLE INS. 20.00 V As ADDRESS MOTORS SEE FEE SCH. �r ' �.- , SERVICE CHANGE. ' 20.00 //S/I'� , w o o LICENSED CONTRACTORS DECLARATION A < W U 1 hereby affirm that I am licensed under provisions of Chapter 9' " ISSUANCE,DATE z w r (commencing with Section 7000)of Division 3 of the Business and q Q BLDG. ELECT. PLG. MECH. H ]z Professions Cod- a y license is in full forte pal C - �j 0 Z�,D LicenseCu��17 Lic.Numb¢ /� �Y_.._ ❑ ❑ ❑ t� F w H j Date �-�/, Contractor a Y s BUILDING PERMIT. E t[ w u. OWNER-BUILDF.R DECLARATION INFORMATION o d MISC.- REFER TO ORD w ; H I hereby affirm that I am exempt from the Contractor's License m VALUATION $/f T. LLo¢ Law fortheity (Sec.requires a Business to construct, Professions PERMIT ISSUANCE 10.00 L w .20 Code:Any mulish coup pair any structure, prior it o i, 9lteq 2 ¢ Q 0 require¢,demolish,or repair any structure,prior n its atom nt that ELEC.CONTfl, LIC.N0. ELEC, wm LL requires n e applicant for such permit to file a signed statement that, TOTAL - PERMIT. O he is licensed pursuant to the provisions of the Contractor's License r Law(Chapterand Professions cing Code)BE Section is 00)exempt the of o of the It Q Business and Professions Code)or that he is exempt therefrom and DTV. PLUMBING PERMIT FEE ' K=$ the basis for the alleged exemption.Any violation of Section STORIES '.TYPE CONSTR. by any applicant fora Permit subjects the applicant one civil penalty ALTER-DRAIN -WATER (EA.) 5.00 ' - of not more than five hundred dollars($500).): "❑ I,as owner of the property,ormy employees with,wages as BACKFLOW PROTECT. DEVICE 4.00 OCC.GROUP , RES.UNITS their Sole compensation,will do the work,and the structure Is not intended or offered for sale(Seca 7044, Business and Professions DRAINS-FLOOR,ROOF,AREA,COND. 5.00 Code:The Contractor's License Law does not apply to an owner of - 1 property who builds or improves thereon,and who does such work FIXTURES,PER TRAP 5.00 so FT,FLOOR AREA TOTAL ACREAGE himself or through his own employees,provided'that such improve- ments are not intended or offered for sale.If,however,the budding GAS-EA,SYSTEM-i 1NC.40UTLETS 6.00 or improvement is sold within one year of completion,the Owner- GAS-EA.SYSTEM-OVER 4 (EA.) 2.00 f builder will have the burden of proving that he did not build or fm- _ BUILDING USE prove for purpose of sale.). I RES IND CON P9 Go.,❑ 1,as owner of the property,am exclusively contracting with INDUSTRIAL WASTE INTER. - 30,00 ❑ ❑ ❑ ❑ ❑ licensed contractors to construct the project(Sec. 7044,Business LAWN SPRINKLERS-1 INC 5 V.B.' 6.00 ASSESSORS PARCEL NO. and Professions Code:The Contractor's License Law does not apply to an owner of property who builds or improves thereon.and who LAWN SPRINKLERS-OVER 5(EA.) 1.00 contracts for Such projects with a contractof(s)licensed pursuant to the Contractor's License Law. SEWER-SANITARY-STORM EA.200ft/10.00 - TRACT NO. PARCEL NO. t V ❑ 1 am exempt under Sec. ,B.&P.C.for this 1WATER HEATER WIVENT 6.00 reason A( , Owner .Date - WATER SYSTEM 5.00 ACC.DATE ACC.FILE NO. 'WORKERS,COMPENSATION DECLARATION WATER TREATING EQUIP. 5.00 1 hereby affirm that I have a certificate of consent to self-insure, ZONING ENG.SITE NO. or a certificate of Workers'Compensation Insurance,or a Certified copy thereg4(Sec.3800,LaDC.).T.91-iFAArt-�T Ml1 11A1 - y ompany " - Q ❑Policy No. CCertified copy is hereby furnished. FIRE SPRINK ENERGY T24 Certi' d co Is,BI wi t.t e. cit ,ins ecY n division. MISC. REFER TO ORD: Z O Appicam �AT' ], 1 pp''7J ((�� v❑ N❑ Y ❑ N❑ H -CER'I'IICA#(;-F. WMP'1'(O PTt� W� PERMIT ISSUANCE . 10.06 (F�LOOOZONE A.L.U.C. LU >• COMPENSATION INSURANCE PLG.CONTR. LIC.NO. PLG. U❑ N O Y❑ N❑ IL 0 (This section need not be completed if the permit is for one TOTAL �A Z) Z hundred dollars($100)or less.) r U O 1 certify that in the performance of the work for which this per- DTV. MECHANICAL PERMIT FEE ($0 FEE SUMMARY LL 1- mit is issued,I shall not employ any person in any manner so as to U become subject to the Workers'Compensation Laws of California. LJ Date 'Applicant ALTER'OR'ADD TO MECH. 5.06M BUILDING } W NOTICE TO APPLICANT: If,after making this Certificate of Ex- ? emption,you should become subject to the Workers'Compensation APPLIANCE 5.00 PLAN CHECK' provisions of the Labor Code, you must forthwith comply with .FEE (J such provisions or this permit shall be deemed revoked. AIR HANDLING UNIT(TO 10,000 C.F.M) 4.00 CONSTRUCTION LENDING AGENCY AIR HANDLING UNIT(OVER 10MC.RM.) 6,00 SEI SM IC FEE 1 hereby affirm that there is a construction lending agency for EXHAUST HOOD(WITH DUCT) - 5.00 - the performance of the work for which this permit is issued(Sec. MICROFILM 3097,Civ.C.). 1 HEATING UNIT(TO 100,000 B.T.U.) 8.00 Lender's Name Lender's Nam es's HEATING UNIT(OVER 100,000 B.T.U.)9.50 ELECTRIC 1 certify that 1 have read this application and state that the above VENTILATION FAN (SINGLE) 490 information is correct. I agree to comply with all city and county PLUMBING ordinances and state laws relating to building construction, and BOILER-COMP(3 H.P.or 100,000 B.T.U.) 6.00 hereby,aulhoriae representatives of this city to enter upon the BOILER-COMP (Own 100,000 BTU)SEE FEE SCH. MECHANICAL above-mentioned property for inspection purposes. ( e}agree to save, indemnify and keep harmless the City of MISC.- REFER TO ORD. Cup Lino against But, s,jud ents, costs and expenses which CONST.TAX a .any gay ac u aims[ said Ci y in consequen a of he PERMIT ISSUANCE t$.00'�.L this ere / MECH.CONT. LIC.NO. MOTAL17TOECH TAL S nature of Applican on[raclor are OFFICE COPY - '